Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,370.32 / $8,511.38	Facility		$831.76	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,513.56	Professional		$537.03	$645.65	$1,513.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $954.99	Professional		$758.58	$870.96	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,023.29	Facility		$489.78	$794.33	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,258.93	Professional		$501.19	$691.83	$1,258.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,230.27	Professional		$660.69	$891.25	$1,230.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,047.13	Professional		$512.86	$645.65	$1,047.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,778.28	Professional		$562.34	$794.33	$1,778.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $1,258.93	Facility		$588.84	$645.65	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,288.25	Professional		$588.84	$1,071.52	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $501.19 / $602.56	Facility		$478.63	$501.19	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $630.96	Professional		$501.19	$588.84	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $3,890.45	Facility		$549.54	$1,778.28	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,071.52	Professional		$489.78	$645.65	$1,071.52